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目的研究针刺与颊肌电刺激相结合治疗脑卒中后口腔期吞咽障碍的疗效。方法 60例脑卒中后口腔期吞咽障碍患者,随机分为对照组和实验组,每组30例。对照组给予基本治疗及吞咽康复训练,实验组在对照组基础上加入针刺和颊肌电刺激。治疗前后均采用洼田氏饮水试验来评定吞咽功能,对比两组患者的临床疗效。结果实验组患者治疗后洼田氏饮水试验评级明显改善,且优于对照组,差异有统计学意义(P<0.05)。实验组患者总有效率为86.67%高于对照组的63.33%,差异有统计学意义(P<0.05)。结论将针刺与颊肌电刺激相结合的方式运用到脑卒中后口腔期吞咽障碍治疗中,明显提高了治疗效果,值得临床推广。
Objective To study the efficacy of acupuncture combined with cheek electromyosurgery in the treatment of postoperative oral dysphagia after stroke. Methods Sixty patients with oral dysphagia after stroke were randomly divided into control group and experimental group, 30 cases in each group. The control group was given basic treatment and swallowing rehabilitation training. The experimental group was given acupuncture and buccal electromyography stimulation on the basis of the control group. Before and after treatment were used Waddy’s drinking water test to assess the swallowing function, compared the clinical efficacy of two groups of patients. Results In the experimental group, the rating of Wuda’s drinking water test was significantly improved, which was better than that of the control group (P <0.05). The total effective rate of the experimental group was 86.67% higher than 63.33% of the control group, the difference was statistically significant (P <0.05). Conclusion The combination of acupuncture and cheek electromyosurgery is applied to the treatment of swallowing dysfunction during oral cavity after stroke, which obviously improves the therapeutic effect and is worthy of clinical promotion.